Andrea R Kristoff, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03704 Issued in KS

Practice address

7162 Renner Rd
Shawnee, KS 66217-9409

Phone

(913) 962-7770

Fax

(913) 962-7775

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Andrea R Beauchamp Former name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

KC Bariatric LLCGroup PAC ID 3375600182, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KC Bariatric, LLC

  • Surgery Physician
  • Lenexa, KS
  • NPI 1992945307
  Medicare reassignment Care Compare group NPD
• Mid America Balance Institute Inc

  • Other Specialist/Technologist
  • Overland Park, KS
  • NPI 1346412376

  MO

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1235333071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179409",
            "telephone_number": "913-962-7770",
            "fax_number": "913-962-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7162 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179409",
            "telephone_number": "913-962-7770",
            "fax_number": "913-962-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOFF",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03704",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007022727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38437012",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BEAUCHAMP",
            "middle_name": "R",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Michelle Koepke
• Taisha Kovar, T-LMFT
• Courtney Kraus, BCBA, LBA, MS ED
• Elizabeth Krawczyk, MHR, LAT, ATC
• Thomas Jerome Krebs, LSCSW
• Ku Medwest Ambulatory Surgery Center, LLC
• Kevin Ryan Kufeldt, LPC
• Ashleigh Kuhn
• Larry J Kutscher, LMSW
• Megan Kwilinski

• Physical Therapist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.